Provider Demographics
NPI:1881816585
Name:FEATHER, MEGAN GLEN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:GLEN
Last Name:FEATHER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 SUNRISE AVE
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27608-2630
Mailing Address - Country:US
Mailing Address - Phone:919-326-0993
Mailing Address - Fax:
Practice Address - Street 1:1518 SUNRISE AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27608-2630
Practice Address - Country:US
Practice Address - Phone:919-326-0993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1076106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist